A review of vascular anastomosis with mechanical aids and nonsuture techniques

Abstract

Devices and techniques for nonsuture vascular anastomosis and for suture anastomosis with minimum blood flow interruption are reviewed from their beginnings in the late 19th century through the development of microvascular surgery in the 20th century. The various devices that have been invented fall into 3 basic categories: butt, flanged, and lapped joints. Although the development of microsurgical instruments and the improvement of suture materials have diminished the use of such mechanical aids in recent years, it is hoped that this historical overview will be of interest to investigators involved in the surgery of vessels of various calibers.

First clinical applications for the NIR-II imaging with ICG in microsurgery

“…Vascular anastomosis is a common procedure used in various surgical subspecialties ( Lee et al, 1980 ). In particular, it is a critical constituent of reconstructive microsurgery, vascular surgery, and transplant surgery.…”

“…In particular, it is a critical constituent of reconstructive microsurgery, vascular surgery, and transplant surgery. The conventional suture-based anastomosis technique has seen many technological advances from the improvement on microscopes, to improved suture material and non-suture cuff techniques ( Lee et al, 1980 ; Zeebregts et al, 2003 ; Ma and Fei, 2021 ). However, quality assessment of the patency of anastomotic vessels and surgical outcomes depend merely on the experience of the surgeon, and an available standardized imaging technique is still absent.…”

“…In particular, it is a critical constituent of reconstructive microsurgery, vascular surgery, and transplant surgery. The conventional suture-based anastomosis technique has seen many technological advances from the improvement on microscopes, to improved suture material and non-suture cuff techniques (Lee et al, 1980;Zeebregts et al, 2003;Ma and Fei, 2021).…”

Surgical Diathermy is not suitable for Vascular Tissue Welding

“…Over hundred years ago Abbe described the use of a glass intraluminal stent to produce a butt joint (1). Subsequently, soluble intraluminal stents (2,3,4,5) and cyanoacrylate adhesives (6) have also been used.…”

“…For tissue welding to become a viable technique for vascular anastomosis, a number of requirements must be met in comparison to a sutured anastomosis. 1 The welded joint must have equivalent rates of leakage, rupture and aneurysm formation. 2 The anastomosis must take no longer to fashion.…”